Malcolm M Traxler Jr. (NPI# 1124013172, PAC ID# 8224926621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124013172 |
| PAC ID by PECOS | 8224926621 |
| Professional Enrollment ID | I20040308000885 |
| Full Name | Malcolm M Traxler Jr. |
| Organization Legal Name | EVERGREEN PRIMARY CARE AND WELLNESS PC |
| Address |
3000 Celebration Blvd Suwanee GA 30024-1054 |
| Phone Number | 4702537944 |
| Gender | M |
| Credential | MD |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1456613645 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110005 | NORTHSIDE HOSPITAL FORSYTH |
| 110230 | EMORY JOHNS CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2450 Atlanta Hwy, Suite 803, Cumming, GA 30040-1252 | 6788076145 | EVERGREEN PRIMARY CARE AND WELLNESS PC |
| 3000 Celebration Blvd, Suwanee, GA 30024-1054 | 4702537944 | EVERGREEN PRIMARY CARE AND WELLNESS PC |
| 3180 Karen White Dr, Suwanee, GA 30024-1358 | 4702537944 | EVERGREEN PRIMARY CARE AND WELLNESS PC |
| Organization Legal Name | EVERGREEN PRIMARY CARE AND WELLNESS PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Wanner | Nurse Practitioner | Evergreen Primary Care and Wellness PC | 2450 Atlanta Hwy, Suite 803, Cumming, GA 30040-1252 |
| Street Address |
3000 CELEBRATION BLVD |
| City | SUWANEE |
| State | GA |
| Zip | 30024-1054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Williams | Physical Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Mamta Das | Occupational Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Lisa C. Elliott | Physical Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Diana Stillwagon | Speech Language Pathologist | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Bernadette B Alcala | Occupational Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Sueji Goak | Occupational Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Paola Andrea Pinto | Occupational Therapy | The Weston Group Inc | 3000 Celebration Blvd, Suwanee, GA 30024-1054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Christine Allen | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| John Yozen Shih | Family Medicine | 960 Ptree Industrial Blvd, Suwanee, GA 30024 | |
| Benjamin Laremont | Family Practice | Maternal and Family Medicine Ctr | 1630 Peachstreet Industrial Blvd A, Suwanee, GA 30024 |
| Christin Brooke Means | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Deborah T Woodward | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Sae J Kim | Physical Therapy | 1325 Satellite Nwblvd, Suite 1302, Suwanee, GA 30024 | |
| Sarah O Licht | Qualified Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Christa Barefoot Nelms | Audiologist | Johns Creek Audiology | 203 Woodpark Place, Suite B 100, Woodstock, GA 30024 |
| Joshua Hasty | Chiropractic | 2615 Peachtree Pkwy, Suite 270, Suwanee, GA 30024-1050 | |
| Lee E Herman | Internal Medicine | Johns Creek Primary Care Physicians LLC | 4365 Johns Creek Pkwy, Suite 400, Suwanee, GA 30024-1059 |
| Find all physicians in zip 30024 | |||
| City | SUWANEE |
| Zip Code | 30024 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SUWANEE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Malcolm M Traxler Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.